Gastroenterology Associates of Northeast Florida P.L.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME38507 Issued in FL

Legal business name

GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.

Practice address

4123 University Blvd S Ste a
Jacksonville, FL 32216-4320

Phone

(904) 737-2300

Fax

(904) 737-2441

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gaurang Naginlal Shah, M.D.

Title

President

Phone

(904) 737-2300

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1831210889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-737-2300",
            "fax_number": "904-737-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-737-2300",
            "fax_number": "904-737-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "NAGINLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME38507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066207100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Belton Gaskins IV, DMD
• Sarah Gasparovic
• Siobhan Deann Gass, LCSW
• John Glenn Gast, LMHC
• Tyra Tamara Gaston, RBT
• Jaime Piercey Gastwirt, M.D.
• Gate Parkway Diagnostic Center Inc
• Sheba Gateau
• Sheila Joan Gately, MD
• Erin Elizabeth Gates, OD

• Gastroenterology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.